Breast lumps surgery

Revision as of 16:24, 9 January 2019 by Anmol Pitliya (talk | contribs)
Jump to navigation Jump to search

Breast lumps Microchapters

Home

Patient Information

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Breast lumps from other Diseases

Epidemiology and Demographics

Risk Factors

Screening

Natural History, Complications and Prognosis

Diagnosis

Diagnostic Study of Choice

History and Symptoms

Physical Examination

Laboratory Findings

Electrocardiogram

X-ray

CT

MRI

Ultrasound

Other Imaging Findings

Other Diagnostic Studies

Treatment

Medical Therapy

Surgery

Primary Prevention

Secondary Prevention

Cost-Effectiveness of Therapy

Future or Investigational Therapies

Case Studies

Case #1

Breast lumps surgery On the Web

Most recent articles

Most cited articles

Review articles

CME Programs

Powerpoint slides

Images

American Roentgen Ray Society Images of Breast lumps surgery

All Images
X-rays
Echo & Ultrasound
CT Images
MRI

Ongoing Trials at Clinical Trials.gov

US National Guidelines Clearinghouse

NICE Guidance

FDA on Breast lumps surgery

on Breast lumps surgery

Breast lumps surgery in the news

Blogs on Breast lumps surgery

Directions to Hospitals Treating Breast lumps

Risk calculators and risk factors for Breast lumps surgery

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Shadan Mehraban, M.D.[2]

Overview

Surgical management of breast lumps depends on the type of masses based on core-needle biopsy. Atypical ductal hyperplasia, atypical lobular hyperplasia, lobular neoplasia, lobular carcinoma in situ, flat epithelial atypia. Multiple, peripheral and atypic papillomas, large sclerosing adenosis and radical scar >10mm, atypic and enlargic fibroadenomas, desmoid tumor, mammary fibromatosis, phyllodes tumor, symptomatic and large pseudoangiomatous stromal hyperplasia requires surgical consultation and excision. The rest of breast lumps require observation and follow-up. The final decision for excisional biopsy is based on recommendations from pathologist, radiologist, and surgeons.

Surgery

Management of breast lumps after confirmation on the basis of core needle biopsy:[1]

Breast lump Surgical management
Atypical ductal hyperplasia
Atypical lobular hyperplasia, lobular neoplasia, lobular carcinoma in situ
Flat epithelial atypia
Papillomas
Complex sclerosing lesion, radical scar
  • If the size < 10mm and adequately sampled: observation.
  • If the size > 10mm: surgical consultation is required.
  • If papilloma is excised: follow-up with annual clinical breast examination and mammography.
Fibroadenoma
  • If accompanied with atypia and enlarging size, surgical consultation is required.
  • Follow-up with annual clinical breast examination and mammography.
Complex fibroadenoma
Sclerosing adenosis
Fat necrosis
Columnar cell hyperplasia
Phyllodes tumor
Desmoid tumor and mammary fibromatosis
Pseudoangiomatous stromal hyperplasia:
Apocrine metaplasia

The final decision for excisional biopsy is based on recommendations from pathologist, radiologist, and surgeons. The decision is made after comprehensive evaluation of clinical, imaging and pathological findings which help to reach the best possible management for patient care.

References

  1. Lehman CD, Lee AY, Lee CI (2014). "Imaging management of palpable breast abnormalities". AJR Am J Roentgenol. 203 (5): 1142–53. doi:10.2214/AJR.14.12725. PMID 25341156.


Template:WikiDoc Sources